Nursing HomeInspections

Sunset Health Care Center

Nursing home in Union, MO

Medicare & Medicaid certified2★ overall (CMS)

Call (636) 583-2252Send a messageMap ↗

Public-record details

Address
400 West Park Avenue, Union, MO 63084
Phone
(636) 583-2252
Listed under
For-profit
Medicare CCN
265390
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
117
Ownership
For-profit, corporation
Legal business name
Sunset Healthcare LLC
Chain
Mgm Healthcare (27 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 9, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265390. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 30, 2025. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 20, 2022 to May 30, 2025): 3 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 30, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		C
Potential for minimal harm, widespread
May 30, 2025Provide activities to meet all resident's needs.
Quality of Life and Care		C
Potential for minimal harm, widespread
May 30, 2025Assure the security of all personal funds of residents deposited with the facility.
Resident Rights		E
Potential for more than minimal harm, pattern
May 30, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
May 30, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		J
Immediate jeopardy, isolated
Apr 7, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 7, 2025Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 5, 2024Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights		B
Potential for minimal harm, pattern
Jan 5, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		C
Potential for minimal harm, widespread
Jan 5, 2024Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Jan 5, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		E
Potential for more than minimal harm, pattern
Jan 5, 2024Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with…
Quality of Life and Care		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 26. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,281 in the last three years.

May 30, 2025Fine: $8,281

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.91 hours
Registered nurse (RN) time per resident per day
0.24 hours
Nurse aide time per resident per day
1.97 hours
Total nurse staffing on weekends
2.66 hours
Nursing staff turnover (yearly)
27%
RN turnover (yearly)
17%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Union

Union Nursing1080 Marie Lane · Union, MO 63084 · (636) 206-8585 · For-profit14 health citations in 3 inspection cycles · last standard inspection Aug 28, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)

All 2 in Union →